Kenneth Robert Koch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

WI1992012 Issued in WI

Practice address

3449 E Plankinton Ave
Cudahy, WI 53110-1413

Phone

(414) 483-1060

Fax

(414) 483-1847

NPI assigned

Dec 23, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1386621050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 E PLANKINTON AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101413",
            "telephone_number": "414-483-1060",
            "fax_number": "414-483-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 E PLANKINTON AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101413",
            "telephone_number": "414-483-1060",
            "fax_number": "414-483-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "WI1992012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Lee Kim, M.D.
• Ellen Kinde
• Kittleson & Kittleson, S.C.
• Tammy L Knaus, RPH
• Laam Ko, D.O
• Kristie Marie Koney, APNP
• Hilary Korb
• Venelin Kounev, MD
• Harold Krueger, R.PH.
• Daniel T Kult, D.D.S

• Chiropractor in Cudahy, WI
• Providers in Cudahy, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.